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European Society of Cardiology and American Society of Echocardiography guidelines report normal LVEF as >50% and >55%, respectively ( 2, 3) and clinical HF trials have defined left ventricular ejection fraction (LVEF) 50% and >55%, respectively ( 2, 3) and clinical HF trials have defined left ventricular ejection fraction (LVEF) <40-45% to indicate LV systolic dysfunction ( 4, 5 ). However, groups with asymptomatic LVEF 40-50% show greater risk for HF .
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